Hemodynamic indexes derived from computed tomography angiography to predict pulmonary embolism related mortality

John, Gregor Raphaël; Marti, Christophe; Poletti, Pierre-Alexandre Alois; Perrier, Arnaud

doi:10.1155/2014/363756

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Title		Hemodynamic indexes derived from computed tomography angiography to predict pulmonary embolism related mortality
Authors		John, Gregor Raphaël Marti, Christophe Poletti, Pierre-Alexandre Alois Perrier, Arnaud
Published in		BioMed research international. 2014, vol. 2014, 363756
Abstract		Pulmonary embolism (PE) induces an acute increase in the right ventricle afterload that can lead to right-ventricular dysfunction (RVD) and eventually to circulatory collapse. Hemodynamic status and presence of RVD are important determinants of adverse outcomes in acute PE. Technologic progress allows computed tomography angiography (CTA) to give more information than accurate diagnosis of PE. It may also provide an insight into hemodynamics and right-ventricular function. Proximal localization of emboli, reflux of contrast medium to the hepatic veins, and right-to-left short-axis ventricular diameter ratio seem to be the most relevant CTA predictors of 30-day mortality. These elements require little postprocessing time, an advantage in the emergency room. We herein review the prognostic value of RVD and other CTA mortality predictors for patients with acute PE.
Identifiers		DOI: 10.1155/2014/363756 PMID: 25147798
Full text		Article (Published version) (1.5 MB) - Limited access to UNIGE
Structures		Faculté de médecine / Section de médecine clinique / Département de radiologie et informatique médicale
Research groups		Groupe Perrier Arnaud (Médecine interne générale, de réhabilitation et de gériatrie) (585) Radiologie des urgences (800)
Citation (ISO format)		JOHN, Gregor Raphaël et al. Hemodynamic indexes derived from computed tomography angiography to predict pulmonary embolism related mortality. In: BioMed research international, 2014, vol. 2014, p. 363756. doi: 10.1155/2014/363756 https://archive-ouverte.unige.ch/unige:44195